What to do if taking birth control pills causes amenorrhea

Some people will experience amenorrhea after taking birth control pills, and they will appear very scared and nervous after the symptoms appear. In fact, birth control pills can cause great harm to women's bodies. Not only will they cause amenorrhea, but they may even lead to other diseases. Therefore, women must not take it lightly and must avoid taking too many birth control pills.

1. Treatment of the cause

Some patients can resume menstruation after the cause is removed. For patients with neurological or mental stress causes, effective psychological counseling should be provided; those with low body weight or amenorrhea caused by excessive dieting or weight loss should adjust their diet and strengthen their nutrition; those with exercise-induced amenorrhea should appropriately reduce the amount of exercise and training intensity; for amenorrhea caused by the hypothalamus (cranial pharyngeal tumors), pituitary tumors (excluding tumors that secrete PRL) and ovarian tumors, the tumors should be removed surgically; for amenorrhea caused by high-Gn amenorrhea containing Y chromosomes, whose gonads have malignant potential, gonadectomy should be performed as soon as possible; amenorrhea caused by reproductive tract malformations and menstrual drainage disorders should be corrected surgically to ensure smooth menstrual blood flow.

2. Estrogen and/or progesterone therapy

Estrogen therapy should be used to treat amenorrhea caused by adolescent sexual immaturity and adult hypoestrogenism. The principles of medication are as follows:

(1) To promote bone growth, for adolescent patients with sexual immaturity, when their height has not yet reached the expected height, treatment should start with a small dose, such as 17β-estradiol or estradiol valerate, or conjugated estrogens; after the height reaches the expected height, the dose can be increased.

(2) To promote further development of sexual characteristics: For adults with amenorrhea due to hypoestrogenemia, 17β-estradiol or estradiol valerate, or combined estrogens, are first used to promote and maintain overall health and sexual development. After the uterus develops, progestogens should be added regularly according to the degree of endometrial proliferation, or estrogen-progestogen sequential cyclic therapy should be used. It is recommended that natural or near-natural progestins, such as dydrogesterone and micronized progesterone, be used for cyclical therapy in adolescent women, which are beneficial to the recovery of reproductive axis function. For patients with signs of androgen excess, progestin formula preparations containing anti-androgen effects can be used. For amenorrhea patients with a certain level of endogenous estrogen, progestin treatment should be used regularly to allow the endometrium to shed regularly.

3. Endocrine therapy for disease pathology and physiological disorders

According to the etiology, pathological and physiological mechanisms of amenorrhea, targeted endocrine drug treatment is used to correct the disordered hormone levels in the body and thus achieve the treatment goal. For example, CAH patients should be treated with long-term glucocorticoids; PCOS patients with obvious signs of hyperandrogenism can be treated with combined estrogen and progesterone oral contraceptives; PCOS patients with combined insulin resistance can be treated with insulin sensitizers. The above treatment can restore menstruation in patients, and some patients can resume ovulation.